Pochiza khansa ina, kuchotsedwa kwa nembanemba yomwe imayika pamimba ndi chimodzi mwazongoganizira. Omentectomy mu khansa imatha kupewa zovuta komanso kutalikitsa moyo. Zikusonyezedwa nthawi ziti? Phindu lake ndi chiyani? Tiyeni tiwone njirayi.

Opaleshoni imatha kukhala gawo la chithandizo cha khansa. Mtundu ndi kukula kwa maopareshoni amakambidwa ndi gulu lazambiri: madokotala ochita opaleshoni, oncologists ndi ma radiologist. Pamodzi, amagwira ntchito limodzi kuti adziwe nthawi yabwino yochitidwa opaleshoni, kutengera matenda ndi mankhwala ena. 

Omentectomy ndi njira yomwe khoma lonse la m'mimba limachotsedwa. Minofu yomwe imayenera kuchotsedwa imatchedwa omentum. Chiwalo chamafuta ichi chimapangidwa ndi peritoneum yomwe ili pansi pamimba yophimba mbali yamatumbo. Njirayi imagwiritsidwa ntchito kufufuza ngati pali maselo a khansa. Malowa amatchedwanso "omentum yayikulu", chifukwa chake dzina loti omentectomy lomwe limaperekedwa pantchitoyi.

Omentum wamkulu ndi minofu yamafuta yomwe imaphimba ziwalo zomwe zili pamimba, peritoneum. 

Timasiyanitsa:

• Omentum yocheperako, kuyambira m'mimba mpaka chiwindi;
• Chowopsa kwambiri, chomwe chili pakati pamimba ndi m'matumbo.

Omentectomy imanenedwa kuti ndi yopanda tsankho ngati gawo limodzi lokha la omentum litachotsedwa, kwathunthu pomwe dotoloyo amachotsa kwathunthu. Kuchotsa kwatsamba kulibe zovuta zenizeni.

Izi zitha kuchitika mukamachita opaleshoni ya khansa.

Ntchitoyi imawonetsedwa mwa odwala omwe ali ndi khansa ya m'mimba yamchiberekero kapena chiberekero komanso khansa yam'mimba yokhudzana ndi m'mimba. 

Wozunguliridwa ndi peritoneum, omentum amateteza ziwalo zam'mimba. Amapangidwa ndi minofu yamafuta, mitsempha yamagazi, komanso maselo amthupi. 

Kuchotsa omentum kungakhale kofunikira:

• Ngati ziwombedwe ndi maselo omwe ali ndi khansa m'mimba mwake, chiberekero kapena matumbo;
• Monga chenjezo: mwa anthu omwe ali ndi khansa m'chiwalo chomwe chili pafupi ndi omentum, omentectomy imachitidwa kuti isafalikire pamenepo;
• Nthawi zina, ngati kutupa kwa peritoneum (peritonitis);
• Mu mtundu wa 2 shuga: pochepetsa kuchuluka kwa minofu yamafuta pafupi ndi pamimba, ndizotheka kupezanso chidwi cha insulin.

Omentectomy itha kuchitidwa m'njira ziwiri:

• kapena laparoscopy: 4 zipsera zazing'ono m'mimba zimaloleza kamera ndi zida kudutsa. Pamafunika kuchipatala masiku 2-3 okha;
•  kapena laparotomy: chilonda chachikulu chapakatikati chowoneka pakati pa thorax ndi pubis chimalola mimba kutsegula. Chipatala chiri pafupifupi masiku 7-10, kutengera zomwe zachitika pochita izi.

Mitsempha yamagazi yomwe imazungulira mu omentum imalumikizidwa (kuti iyimitse kapena kupewa magazi). Kenako, omentum imasiyanitsidwa mosamala ndi peritoneum isanachotsedwe.

Omentectomy nthawi zambiri imachitidwa pansi pa anesthesia nthawi yomweyo ndi maopaleshoni ena. Pankhani ya khansa ya amayi, kuchotsedwa kwa thumba losunga mazira, machubu a chiberekero, kapena chiberekero kumayembekezeredwa. Poterepa, ndiye kuti ndikofunikira kuchipatala komwe kumafunika kukhala masiku angapo kunyumba.

Mu matenda a khansa, kufotokozera pambuyo pochotsa omentum kumatengera gawo la matendawa. Kawirikawiri, khansara ili kale kale. Kupititsa patsogolo opaleshoni kumalola:

• Kuchepetsa zovuta monga kudzikundikira kwamadzi m'mimba (ascites);
• Kukulitsa moyo kwa miyezi ingapo. 

M'kupita kwanthawi, zotsatira zakuchotsa omentum sizikudziwikabe, popeza kutenga nawo mbali kwamtunduwu kumamvetsetseka.

Pambuyo polowererapo, munthuyo amawoneka ndikuwasamalira m'chipinda chazachipatala. Nthawi zambiri, anthu amatha kusamutsidwa tsiku lotsatira kupita ku gawo la tsiku. 

Chithandizo ndi chisamaliro chotsatira chimadalira mtundu ndi gawo la matenda a khansa. Ndondomekoyi ikachitika kwa munthu yemwe ali ndi khansa, imatha kutsatiridwa ndi magawo a chemotherapy kuti athe kupeza bwino. 

Zowopsa zomwe zimachitika pakuchita izi zikugwirizana:

• Ndi mankhwala ochititsa dzanzi: ngozi ya thupi lawo siligwirizana ndi mankhwala omwe agwiritsidwa ntchito;
• Ali ndi matenda a bala; 
• Nthawi zambiri, amachititsa kuti leus wodwala, kutanthauza kumangidwa kwa matumbo;
• Mwapadera, opaleshoniyi imatha kuwononga mawonekedwe ozungulira: kupindika kwa duodenum mwachitsanzo, gawo loyamba la m'mimba.